TIMOTHY JACKSON RN
NPI 1710473368
Registered Nurse in Mckinleyville, CA

Q: What is Timothy Jackson's NPI number?

The NPI number for Timothy Jackson is 1710473368. It was assigned to this individual provider in the NPPES registry on July 6, 2018. The provider is also known as Timmi Jackson.

Q: What is Timothy Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Jackson was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2018

1644 CENTRAL AVE, MCKINLEYVILLE, CA 95519(707) 839-3068(707) 839-3827 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Jackson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JACKSON RN (NPI 1710473368) is an individual registered nurse in Mckinleyville, California, licensed in California (533106) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1710473368

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameTIMOTHY JACKSONCredential: RN

Location Address1644 CENTRAL AVEMckinleyville, CA 95519-4342

Mailing Address670 9th St Ste 203Arcata, CA 95521-6249 · (707) 826-8633 · Fax (707) 826-8638

Phone(707) 839-3068

Fax(707) 839-3827

Sole ProprietorNo

Enumeration DateJuly 6, 2018

✔ NPI 1710473368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in CA · 533106

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1644 CENTRAL AVE, Mckinleyville, CA 95519

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Other Names 1

Other Name (5)Timmi Jackson

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANNA FUKUSHIMA RN

Registered Nurse